Overweight children with severe dengue shock
Recently, the City Children's Hospital received treatment for female patient G.H (10 years old, Binh Chanh district, Ho Chi Minh City) who was overweight and obese, weighing 50 kg (usually 30 - 32 kg at this age group).
Exploiting the history, children with high fever continuously for 2 days. By the 3rd day of the disease, children with abdominal pain, vomiting the brown pig, cold hands and feet, so the family members took the children to enter the local hospital in a mild blood vessel condition, blood pressure dropped 80/70mmHg. Children were diagnosed with severe dengue shock.
The child was actively treated with anti-shock fluids according to the protocol. However, the condition of children is getting worse, showing signs of respiratory failure, blood clotting disorder, gastrointestinal bleeding, and severe liver damage. The child was transferred to the City Children's Hospital.
Here, children were diagnosed with severe dengue shock, blood clotting disorder, gastrointestinal bleeding, liver damage, and severe respiratory failure in overweight and obese children.
Doctors continue to infuse high-molecular, anti-shock fluids with the help of advanced advanced intervention arterial blood pressure measuring devices, central varicose pressure measuring, bladder pressure measuring, and using combined vasopressors.
The child was supported with respiratory support with continuous positive pressure, non-invasive mechanical ventilation. After that, the child was placed in the endotracheal tube to breathe a ventilator early, and a pathologist to drain the abdominal dishes to relieve pressure.
The condition of blood clotting disorder, severe gastrointestinal bleeding is infused with blood, frozen fresh, collapsed huyet tuong, thickened platelets, vitamin K1, treatment to support the liver. After nearly 12 days of treatment, the child gradually recovered, was taken off the ventilator, was alert, and liver and kidney function returned to normal.
Be vigilant in the rainy season, proactively prevent diseases
Through this case, Dr. Nguyen Minh Tien - Deputy Director of the City Children's Hospital reminded parents to be vigilant during the rainy season, the mosquitoes thrive, and dengue fever attacks children as well as adults.
Parents need to take good measures to prevent diseases such as killing mosquitoes, mosquito larvae, sleeping on the stomach, cleaning up containers...
It is necessary to take children to the hospital immediately if they have a high fever for more than 2 days with cracked, wheezing or lethargy, lethargy, and slurred speech; bleeding, bleeding or vomiting, black stools; abdominal pain, vomiting; cold hands and feet; sluggishness, lying in one place without playing or stopping feeding, stopping eating.
Dr. Tien emphasized that there is currently a dengue fever vaccine for children aged 4 and over and adults.
In addition, parents should pay attention to letting their children eat a reasonable diet according to their age, consulted by a nutritionist to avoid the risk of excess weight and obesity. Because when having dengue fever, treatment is very difficult, children are susceptible to complications of respiratory failure, blood clotting disorder, liver and kidney damage...
